Individual
DEBORAH L WILDENHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2973 SPRINGPORT RD, JACKSON, MI 49201-9060
(517) 435-3461
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006582
MI
Other
Enumeration date
05/01/2018
Last updated
01/13/2025
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